Individual
ANDREW MORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4004 SW KELLY AVE, SUITE 100, PORTLAND, OR 97239-4389
(503) 595-5407
(503) 595-5408
Mailing address
4004 SW KELLY AVE, SUITE 100, PORTLAND, OR 97239-4389
(503) 595-5407
(503) 595-5408
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15824
OR
Other
Enumeration date
10/19/2009
Last updated
10/19/2009
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